SavedAdd your journal

Journals / Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi / 2018 / Cilt: 24 - Sayı: 3

Dexmedetomidine Use in Application of Simultaneous Thoracic and Abdominal Endovascular Stent Graft Reconstruction

Eşzamanlı Torakal ve Abdominal Endovasküler Stent Greft Rekonstrüksiyonu Uygulamasında Deksmedetomidin Kullanımı

Alev ŞAYLAN
Büşra YETKİN TEZCAN
Dilek ÖZTÜRK KAZANCI
Mine ALTINKAYA CHAVUSH
Eslem İNCE YILMAZ
Ayşegül ÖZGÖK
Pages
132–135
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In this report, the dexmedetomidine use in the anesthetic management of a patient during successful endovascular treatment of simultaneous thoracal and abdominal aortic aneurysms is described.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Endovascular approach in aortic aneurysm repair is usually chosen for appropriate thoracal and abdominal lesions but simultaneous thoracal and abdominal endovascular stent graft reconstruction in the endovascular treatment of thoracoabdominal aneurysms (TEVAR+EVAR) is rarely performed long-lasting procedure.
📊
Key Findings & Data:This is a high risk complex procedure for anesthetic management.
💡
Conclusion & Impact:In this report, the dexmedetomidine use in the anesthetic management of a patient during successful endovascular treatment of simultaneous thoracal and abdominal aortic aneurysms is described.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Endovascular approach in aortic aneurysm repair is usually chosen for appropriate thoracal and abdominal lesions but simultaneous thoracal and abdominal endovascular stent graft reconstruction in the endovascular treatment of thoracoabdominal aneurysms (TEVAR+EVAR) is rarely performed long-lasting procedure. This is a high risk complex procedure for anesthetic management. In this report, the dexmedetomidine use in the anesthetic management of a patient during successful endovascular treatment of simultaneous thoracal and abdominal aortic aneurysms is described.

Özet

Endovasküler yöntemle aort anevrizma cerrahisi onarımı, anatomik olarak uygun torasik ve abdominal lezyonlarda sıklıkla yeğlenmektedir. Torako-abdominal anevrizmaların endovasküler tedavisinde eşzamanlı torakal ve abdominal endovasküler stent greft rekonstrüksiyonu (TEVAR+EVAR) ise oldukça ender yapılan uzun süreli bir işlemdir. Bu komplike işlem anestezik yönetim açısından yüksek risklidir. Bu makalede, torakal ve abdominal aort anevrizması, endovasküler olarak aynı seansta başarılı bir şekilde tedavi edilen hastamızın anestezi yönetiminde deksmedetomidin kullanımı sunulmuştur.

🔖

Cite This Article

ŞAYLAN, A., TEZCAN, B. Y., KAZANCI, D. Ö., CHAVUSH, M. A., YILMAZ, E. İ., ÖZGÖK, A. (2018). Dexmedetomidine Use in Application of Simultaneous Thoracic and Abdominal Endovascular Stent Graft Reconstruction. Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi, Cilt: 24 - Sayı: 3, 132–135. https://ajindex.com/articles/161834

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (10)

  1. Kirkwood ML, Pochettino A, Fairman RM, Jackson BM, Wang GJ, Szeto WY et al. Simultaneous thoracic endovascular aortic repair and endovascular aortic repair is feasible with minimal morbidity and mortality. J Vasc Surg. 2011;54:1588-91.
  2. Guo Y, Cai H, Yang B and Hui Jin. Simultaneous endovascular repair for thoracic and abdominal aortic pathologies: Early and midterm results. Ann Vasc Surg. 2016;1-5.
  3. Bakker EJ, et al. General anaesthesia is associated with adverse cardiac outcome after endovascular aneurysm repair. Eur J Vasc Endovasc Surg. 2012 Aug;44(2):121-5.
  4. Bhana N, Goa KL, McClellan KJ. Dexmedetomidine. Drugs. 2000;59(2):263-8.
  5. Huncke TK, Adelman M, Jacobowitz G, Maldonado T, Bekker A. A prospective, randomized, placebocontrolled study evaluating the efficacy of dexmedetomidine for sedation during vascular procedures.Vasc Endovascular Surg. 2010 May;44(4):257-61.
  6. Brown BJ, Zakhary S, Rogers L, Ellis-Stoll C, Gable D, Ramsay MA. Use of dexmedetomidine versus general anesthesia for endovascular repair of abdominal aortic aneurysms. Proc (Bayl Univ Med Cent). 2006 Jul;19(3):213-5.
  7. Han C, Ding W, Jiang W, Chen YU, Hang D, Gu D et al. A comparison of the effects of midazolam, propofol and dexmedetomidine on the antioxidant system: A randomized trial. Exp Ther Med. 2015 Jun;9(6):2293- 2298.
  8. Sifringer M, von Haefen C, Krain M, Paeschke N, Bendix I, Bührer C et al. Neuroprotective effect of dexmedetomidine on hyperoxia-induced toxicity in the neonatal rat brain. Oxid Med Cell Longev. 2015;2015:530371.
  9. Lee SK. Clinical use of dexmedetomidine in monitored anesthesia care. Korean J Anesthesiol. 2011;61(6):451-2.
  10. Bulow NMH, Colpo E, Duarte MF, Correa EFM, Schlosser RS, Lauda A, et al. Inflammatory response in patients under coronary artery bypass grafting and clinical implications: A review of the relevance of dexmedetomidine use. Hindawi Publishing Corporation ISRN Anesthesiology Volume 2014, Article ID 905238, 28 pages https://doi.org/10.1155/2014/905238